GREENWOOD LEFLORE HOSPITAL (NPI# 1104228972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104228972 |
| Entity Type | Organization |
| Organization Name | GREENWOOD LEFLORE HOSPITAL |
| Other Organization Name | NORTH CENTRAL MS UROLOGY CLINIC |
| Practice Address |
205 8th St Greenwood MS 38930 |
| Mailing Address |
Po Box 1410 Greenwood MS 38935-1410 |
| Practice Telephone | 6624536732 |
| Mailing Telephone | 6624558052 |
| Mailing Fax Number | 6624558053 |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2018-07-02 |
| Authorized Official Name | DAWNE HOLMES (CFO) |
| Authorized Official Telephone | 6624597119 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| North Central MS Urology Clinic | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1401 River Rd Fl 2, Greenwood, MS 389304030 | 6624558052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942750617 | Greenwood Leflore Hospital | Psychiatry & Neurology | 1401 River Rd Rm 534, Greenwood, MS 38930 | 2016-10-06 |
| 1861794778 | Greenwood Leflore Hospital | Clinic/Center | 706 Highway 82 W Ste B, Greenwood, MS 38930-5028 | 2010-11-29 |
| 1124088299 | Greenwood Leflore Hospital | Clinic/Center | 400 Lamar Ave, Kilmichael, MS 39747 | 2006-03-24 |
| 1750341855 | Greenwood Leflore Hospital | Clinic/Center | 100 N Court St, Sumner, MS 38957-9710 | 2006-03-24 |
| 1598725889 | Greenwood Leflore Hospital | Orthopaedic Surgery | 204 8th St, Greenwood, MS 38930-4012 | 2006-03-23 |
| 1336109578 | Greenwood Leflore Hospital | Neurological Surgery | 405 River Rd, Greenwood, MS 38930 | 2006-03-23 |
| 1003875394 | Greenwood Leflore Hospital | Clinic/Center | 103 Basket St, Itta Bena, MS 38941-2801 | 2006-03-23 |
| 1841250172 | Greenwood Leflore Hospital | Clinic/Center | 110 Tchula St, Lexington, MS 39095-3111 | 2006-03-23 |
| 1083674204 | Greenwood Leflore Hospital | Psychiatry & Neurology | 1317 River Rd, Greenwood, MS 38930 | 2006-03-23 |
| 1447210554 | Greenwood Leflore Hospital | Anesthesiology | 1403 Strong Ave, Greenwood, MS 38930 | 2006-03-23 |
| Street Address |
205 8TH ST |
| City | GREENWOOD |
| State | MS |
| Zip Code | 38930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407848690 | James S Robbins IIi | Urology | 205 8th St, Greenwood, MS 38930-4011 | 2005-08-16 |
| 1861763260 | Greenwood Leflore Hosptial | Urology | 205 8th St, Greenwood, MS 38930-4011 | 2012-01-18 |
| 1003808882 | Greenwood Urology Clinic, P.a. | Urology | 205 8th St, Greenwood, MS 38930-4011 | 2005-08-18 |
| 1386636140 | James R Hardin | Urology | 205 8th St, Greenwood, MS 38930-4011 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447871579 | Stewart Health Care Training Academy | Home Health Aide | 522 West Park Avenue Suite S, Greenwood, MS 38930 | 2020-04-29 |
| 1801386487 | Sunflower-humphreys Counties Progress, Inc. | Case Management | 414 Martin Luther King Dr, Indianola, MS 38930 | 2018-05-18 |
| 1053826610 | Sarah Malone | Counselor | 2504 Browing Road, Greenwood, MS 38930 | 2017-12-05 |
| 1780109850 | Jasmine Turner Edwards | Pharmacist | 2202 Us 82 W Frontage Rd, Greenwood, MS 38930 | 2017-08-09 |
| 1861916199 | Maurice Wright | Social Worker | 522 West Park Avenue, Suite Q-r, Greenwood, MS 38930 | 2017-07-28 |
| 1215464607 | Catherine Johnson | Counselor | 522 West Park Avenue, Greenwood, MS 38930 | 2017-05-16 |
| 1598205262 | Vignesh Kannan | Internal Medicine | Greenwood Leflore Hospital, 1401 River Rd, Greenwood, MS 38930 | 2017-03-01 |
| 1952847691 | Mischa Mccray | Counselor | 804 E Park Ave, Greenwood, MS 38930 | 2017-01-18 |
| 1760933147 | Ginger Caldero | Social Worker | 522 West Park Ave, Greenwood, MS 38930 | 2016-10-20 |
| 1942750617 | Greenwood Leflore Hospital | Psychiatry & Neurology | 1401 River Rd Rm 534, Greenwood, MS 38930 | 2016-10-06 |
| Find all providers in zip 38930 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407848690 | James S Robbins IIi | Urology | 205 8th St, Greenwood, MS 38930-4011 | 2005-08-16 |
| 1649273749 | Greenwood Urological P.a. | Urology | 109 Liner Dr, Greenwood, SC 29646-2311 | 2005-05-23 |
| 1295145159 | Brian Orr | Urology | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2014-04-30 |
| 1033462239 | Jason Ronald Kovac | Urology | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2012-10-25 |
| 1861763260 | Greenwood Leflore Hosptial | Urology | 205 8th St, Greenwood, MS 38930-4011 | 2012-01-18 |
| 1871809855 | Self Medical Group | Urology | 109 Liner Dr, Greenwood, SC 29646-2311 | 2010-08-27 |
| 1003121989 | Arnold P Mulkey | Urology | 109 Liner Dr, Greenwood, SC 29646-2311 | 2010-08-16 |
| 1871736595 | James Harrison Raybourn IIi | Urology | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2009-04-10 |
| 1871750455 | David A Gilley | Urology | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2008-05-21 |
| 1124033550 | Samuel T Thompson | Urology | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2006-07-31 |
| Find all providers in GREENWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.